title: CASE 11--2014. Successful open repair of an extensive descending thoracic aortic aneurysm in a complex patient.
authors.affiliation: Cardiothoracic and Vascular Section, Anesthesiology and Critical Care, University of Pennsylvania, Philadelphia, PA.
authors.forename: Michael
authors.initials: M
authors.lastname: Fabbro
authors.affiliation: Cardiothoracic and Vascular Section, Anesthesiology and Critical Care, University of Pennsylvania, Philadelphia, PA.
authors.forename: Alexander
authors.initials: A
authors.lastname: Gregory
authors.affiliation: Cardiothoracic and Vascular Section, Anesthesiology and Critical Care, University of Pennsylvania, Philadelphia, PA.
authors.forename: Jack T
authors.initials: JT
authors.lastname: Gutsche
authors.affiliation: Cardiac Anesthesia, Mayo Clinic, Scottsdale, AZ.
authors.forename: Harish
authors.initials: H
authors.lastname: Ramakrishna
authors.affiliation: Division of Cardiac Surgery, Department of Surgery; Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
authors.forename: Wilson Y
authors.initials: WY
authors.lastname: Szeto
authors.affiliation: Cardiothoracic and Vascular Section, Anesthesiology and Critical Care, University of Pennsylvania, Philadelphia, PA. Electronic address: yiandoc@hotmail.com.
authors.forename: John G
authors.initials: JG
authors.lastname: Augoustides
mesh_terms: D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging* / Q000601:surgery*; D002315:Cardiopulmonary Bypass / Q000009:adverse effects*; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects*; D006801:Humans; D007431:Intraoperative Complications / Q000000981:diagnostic imaging* / Q000209:etiology; D008297:Male; D008875:Middle Aged; D014463:Ultrasonography
keywords: achalasia; analgesia; aortic aneurysm; aortic regurgitation; cardiopulmonary bypass; cerebrospinal fluid damage; coagulopathy; deep hypothermic circulatory arrest; descending thoracic aorta; diaphragm; ketamine; left ventricle; multidisciplinary approach; paraparesis; paraplegia; patrial thromboplastin time; renal dysfuction; spinal cord ischemia; spinal cord perfusion pressure; steroids; thoracoabdominal aorta; thoracotomy; transesophageal echocardiograpy